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VICTORIA TISDALE LMSW
NPI 1467932921
Social Worker in Fayetteville, AR

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Victoria Tisdale Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA TISDALE LMSW (NPI 1467932921) is an individual social worker in Fayetteville, Arkansas, licensed in Arkansas (8708-M) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467932921
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameVICTORIA TISDALECredential: LMSW
Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 695-1240
Fax(479) 750-4843
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 15, 2018
✔ NPI 1467932921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in AR · 8708-M
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
60 W SUNBRIDGE DR, Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Tisdale Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628483500
PECOS Enrollment IDI20210301000203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
90 services15 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIRITY C HESINGTON LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
HUONG MARY CHU LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1242
JASMEN MARTY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
CANDICE Y MARTIN
Counselor (Mental Health)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
ANNIKA D PERRY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
TAYLOR KENNEDY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
MATTHEW BANCROFT
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
KATY FERNANDEZ
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Tisdale's NPI number?

The NPI number for Victoria Tisdale is 1467932921. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Victoria Tisdale located?

Victoria Tisdale practices at 60 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 695-1240.

What is Victoria Tisdale's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Victoria Tisdale enrolled in Medicare?

Yes. Victoria Tisdale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Victoria Tisdale accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Victoria Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Tisdale was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.